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foreign block is a useful technique for anesthetizing several key components of the lumbar plexus and has been shown to reduce pain intensity and opioid use as well as adverse outcomes such as delirium in patients who present with hip fracture itamp;#39;s also excellent for post-op analgesia following hip arthroplasty and in this video weamp;#39;ll discuss the anatomy sonoanatomy and technique for the super inguinal fascia iliacca plane block this technique has gone through several iterations over the years starting with a landmark-based approach where the inguinal crease was trisected and the needle Advance just distal to it until two pops were felt then we injected a gallon of local anesthetic and hoped it got to the right place early ultrasound approaches use the same infra inguinal technique but in the last decade many have migrated to the technique weamp;#39;ll discuss today the super inguinal fasciallyaga or sci-fi the iliacus fascia is a wide sheet-like structure that